Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $14.72 / $55.03	Facility		$4.62	$14.72	$55.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.65 / $5.70	Professional		$3.67	$4.65	$5.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.11 / $3.59	Professional		$2.59	$3.11	$3.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $13.57 / $167.54	Facility		$3.28	$13.57	$167.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.61 / $9.38	Professional		$3.89	$8.61	$9.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $11.55 / $23.74	Facility		$3.62	$11.55	$23.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.01 / $7.23	Professional		$3.38	$5.01	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.06 / $5.08	Professional		$2.38	$3.06	$5.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $13,785.00 / $13,785.00	Facility		$3.63	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.97	Professional		$3.63	$3.63	$4.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.11 / $7.23	Professional		$2.10	$3.11	$7.23